Saint Luke’s at McKesson’s HIMSS Booth Side Review

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Saint Luke’s at McKesson’s HIMSS Booth Side Review

  1. 1. Our Journey to Performance Excellence John Wade Vice President and Chief Information Officer Saint Luke’s Health System
  2. 2. Organization Profile • 1423 beds • 7086 employees • 1317 physicians • Tax Exempt • Tertiary care referral • Protestant Episcopal Church • Primary teaching hospital – UMKC School of Medicine • Level I Trauma Center • Level III Neonatal care • Centers of Excellence
  3. 3. Focus on Excellence • 2003 Malcolm Baldrige National Quality Award Recipient • Named No. 1 consumer choice in Kansas City for 8 consecutive years • “Most Wired” Hospital winner since 1999
  4. 4. “Technology is how we glue clinical quality together. It’s the only way we can provide the right care at the right place, at the right time, in the right way and at the right cost.” - G. Richard Hastings, CEO, Saint Luke’s Health System Luke’
  5. 5. Information Technology Supporting Quality Initiatives • Initial focus on inpatient environment • Deployed Horizon Clinicals – Orders Management – Nursing Documentation – Clinical Data Repository – Medication Safety – Document Imaging – Medical Imaging (PACS) – Physician Portal
  6. 6. Results: Improved Clinical Outcomes Patients Receiving tPA Following Ischemic Stroke 30 SLH National Average BETTER 25 Next Best % of Patients 20 15 10 5 0 2000 2001 2002 2Q03
  7. 7. Results: Improved Clinical Outcomes Patients Receiving tPA Following Ischemic Stroke 30 SLH National Average BETTER 25 Next Best % of Patients 20 National Benchmark for Stroke Reversal 15 10 5 0 2000 2001 2002 2Q03
  8. 8. Improved Patient Satisfaction Patient Satisfaction 100 95 90 % 85 80 IP OP ED BETTER 75 1999 2000 2001 2002 2003
  9. 9. Improved Patient Satisfaction Patient Satisfaction 100 95 94% of patients satisfied with their care 90 % 93% of patients satisfied with outcomes 85 80 IP OP ED BETTER 75 1999 2000 2001 2002 2003
  10. 10. Employee Retention SLH Retention 90 85 % 80 SLH Saratoga Institute BETTER 75 1998 1999 2000 2001 2002 2003
  11. 11. Employee Retention SLH Retention 90 85 Average 7% nurse turnover compared to 20% industry average % Source: American Nurses Credentialing Center 80 SLH Saratoga Institute BETTER 75 1998 1999 2000 2001 2002 2003
  12. 12. Results: Increased Physician Adoption Adoption 2500 2000 Average 1500 Logins 1000 500 Per Day 0 May Jun Jul Aug Sept Oct Nov Dec Logins User Types Unique Logins this period: 1615 Physicians Percentage Average Logins Weekday: 2091 Nurses Hospital Staff Average Logins per day: 1714 Office Staff Average Logins Weekend day: 793 Allied Average Session Length (min.): 11
  13. 13. Results: Increased Physician Adoption Adoption 2500 2000 Average 1500 Logins 1000 500 Per Day 0 May Jun Jul Aug Sept Oct Nov Dec 90%+ of physicians using portal to Usercomplete and sign medicalLogins charts Types Unique Logins this period: 1615 Physicians Percentage Average Logins Weekday: 2091 Nurses Hospital Staff Average Logins per day: 1714 Office Staff Average Logins Weekend day: 793 Allied Average Session Length (min.): 11
  14. 14. The Next Step to Excellence • Extending quality and patient safety initiatives to the physician’s office • Leverage existing IT investments—especially HorizonWP Physician Portal and Horizon Patient Folder • Deploying ambulatory EHR and practice management to 200 physicians, employed and affiliated • Incremental approach beginning with electronic prescribing launched via the portal
  15. 15. Ambulatory Objectives • Consistent integrated medication record • Common problem list, procedure and allergy information universally available • Improved patient safety/satisfaction • Care coordination across settings and medical specialties • Improved operational efficiencies
  16. 16. Why McKesson? • Ambulatory strategy aligned with our vision • Leveraging success with existing clinical solutions for physicians • Fully integrated electronic health record across care settings
  17. 17. Saint Luke’s Health System THE BEST PLACE TO GET CARE… THE BEST PLACE TO GIVE CARE!

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